Provider Demographics
NPI:1588651707
Name:NAHL, MICHAEL ERIC (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ERIC
Last Name:NAHL
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7066
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23457-0066
Mailing Address - Country:US
Mailing Address - Phone:757-456-1279
Mailing Address - Fax:757-436-0023
Practice Address - Street 1:1417 BATTLEFIELD BLVD N
Practice Address - Street 2:SUITE 260
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4516
Practice Address - Country:US
Practice Address - Phone:757-436-0605
Practice Address - Fax:757-436-0023
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional